| NPI | 1912633785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP026318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 689556) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-09-27 |